The Barbados Association of Emergency Medical Technicians Inc.

Barbados Association of Emergency Medical Technicians Inc. Membership Application Portal

The Barbados Association of Emergency Medical Technicians Inc.

Membership Application Form
Choose one*

New MemberReinstatement
Membership Type*

Ordinary MemberAffiliate Member
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

Town / CommunityParish

Zip CodeCountry
Phone Number (Mobile)
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Where did you obtain your EMS training? (Educational Institution)
Employer
Occupation
Paramedical Council License # / Are you currently registered?
Proof of Registration.

valid proof would a copy of Practising Certificate or Payment Receipt
Cancelof
Send me BAEMT communication via:

Home AddressEmailPhone
What area(s) are you interested in?

Health and WellnessSocial ClubFund RaisingEMS in the Community
Date of Birth
Only provide the Month and Date
Would you like to be added to BAEMT WhatsApp Community Space?

YesNo
Statement why Applicant should be admitted as an Affiliate Member:
Application Status:
Membership Number :
Date of Approval :

DayMonthYear
Date
Should be Empty:

Barbados Association of Emergency Medical Technicians Inc. Membership Application Portal